Academic/School Extended Service Grant
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Please submit this form by October 15, 2022
Library *
If different than the above, to whom should the check be made payable?
Name of person completing this form *
Eligibility
Is the library open to the public during most hours it is open to students, have a collection of materials and have a full-time librarian? *
Required
If Yes, then the library is eligible for an extended service grant.
The amount of each grant is determined by two factors:  The FTE enrollment of the institution and the percent of circulation to persons who are not students or employees of the parent institution, called extended service circulation for the purpose of this grant. Interlibrary loans made to other libraries may be included in calculating extended service circulation.  
(The extended service circulation of a percentage of total circulation.)

                                                                                          Extended                                  Amount
   FTEs                        Amount for FTEs                service circulation                           for circ
-----------------------         --------------------------                ----------------------------                          -------------
Less than 1000                 $1,000                                 Less than 5%                                       0
1,000 - 1,999                      $1,500                                 5-9.99 %                                           500
2,000 - 3,999                      $2,000                                 10-19.99%                                     1,000
4,000 and up                      $2,500                                 20-29.99%                                     1,500
                                                                                          30% or more                                  2,000

1. Amount for FTEs  (from table above) *
2.  Amount for extended service circulation (from table above) *
3.  Total Grant *
Sum of lines 1 and 2
Email Address *
Submit
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